I need you too reply to this.

 

Nursing research is done through a four-phase process beginning with assessment, planning, intervention and finally evaluation. The assessment phase entails identifying the topic that needs to be researched and looking to see if there is any current literature regarding the topic of interest. Then in the planning phase the researcher formulates his/her hypothesis and begins to gather all the needed variables that will be included in the study as well as the control groups depending on the topic. In the intervention phase the variables are being tested and the study is being conducted and data is collected. Finally, the data is evaluated, and the conclusion is reached based on the hypothesis (Arslanian, 2000).

 This process related to evidence-based practice and patient care is very similar in the sense that is uses some of the steps. The nursing process is assessment, diagnosis, planning, implementation and evaluation (Toney-Butler & Thayer, 2021). A nurse goes through the assessment phase upon entering the room and assessing the patient sometimes using a focused approach or does a full head to toe assessment depending on the patient need. The nurse then creates priority nursing diagnosis for the patient and things that the nurse needs to focus on based on patient need. The planning phase is creating a care plan for the patient that are specific, measurable, attainable, realistic and timely. The nurse then implements these plans that were made in the care plan and then finally evaluates if goals were met or not met (Toney-Butler & Thayer, 2021).

 Healthcare associated infections also known, and HAI’s are a common clinical problem that occurs, and I researched more specifically ventilator associated pneumonia. Using the four-phase approach I read existing literature and concluded that this can be reduced by practicing good hand hygiene when handling a patient on a ventilator and telling visitors to do the same, raising the head of the bed and performing oral care on the patient (Frequently Asked Questions about Ventilator-Associated Pneumonia | HAI | CDC, 2019).

Use this Diet Log to record your food and beverage intake for 3 days. Go to Calorie King, which is a nutrient tracker, to find the information you need to fill out your diet log. You can take the average of all three meals and “do the math” on the average. Once you have finished your calculations, answer the following questions in your journal.

• Carbohydrates 
  • How many grams of carbohydrates are in the meal?
  • How many kcalories do carbohydrates contribute to the meal?
• Fats 
  • How many grams of fat are in the meal?
  • How many kcalories do fat contribute to the meal?
• Protein 
  • How many grams of protein are in the meal?
  • How many kcalories does protein contribute to the meal?

Reflection: In 3 – 5 sentences, reflect on your nutrition by answering the following:

• Compare your intakes of each nutrient. What do your diet log and your calculations say about your overall nutrition?
• Review the Dietary Guidelines for Americans’ AMDR ranges again. How do your nutrient calculations compare to these recommendations. 
  • Were some intakes too high? Too low? What else did you notice?
• What can you do to improve your nutrition?
• What do you think you would find if you were to continue this diet log for a month or more? Do you think you’d discover any patterns or trends in your eating? Explain.

 

This assignment will provide you with an IT consultant experience to investigate a business process operation.

For instance, a company encourages employees to work remotely and tries to identify a free or affordable application that enables all employees to communicate virtually. What are the IT options available to enable the team?

You will think outside the box to develop a practical solution for a real-life problem or application.

IT Business Application Case Study

Discuss a business problem with an IT solution from your work or personal experience. Are there any specific artificial intelligence (AI) applications that can be considered as part of the solution? If you don’t have specific personal experience, select 1 management enterprise system (MIS) solution with a specific use case. For this project you are going to write a five (5) page technical report discussing the following:

• Identify the business and the problem.
• Discuss the expectations of the deliverables in the business process.
• Explain the specific application you chose to provide an effective solution.
• Describe the specific features and benefits of the new IT application.
• State how the new application provides long-term support to the business process thought maintaining data integrity in cases of disaster recovery and continuity planning.

Submit your Five (5) page technical report in APA format with at least 3 references. Please note that title page and reference page do not count as part of the five (5) page total.

• 1 Title page (remember the running heading should be abbreviated and all caps) – This proposal does not require an abstract.
• 3 paragraphs identifying the business and the problem
• 3 paragraphs discussing the expectations of the deliverables in the business process
• 3 paragraphs explaining the specific application chosen to provide an defective solution
• 3 paragraphs describing the specific features and benefits of the new IT application
• 3 paragraphs stating how the new application provides long-term support to the business process thought maintaining data integrity in cases of disaster recovery and continuity planning.
• Reference page minimum of 3 references

 

For the company you have used for the competency-level demonstrations of mastery, you will review and assess the existing ethics and compliance program and make suggestions for changes and improvements. You have completed many of the following pieces for the competency-level demonstrations of mastery. Utilize the feedback from your instructor to update these items for inclusion in this final demonstration of mastery. Also, be sure to read all of the requirements for each section below as you may be asked a few additional questions from the original assignments.

1. Complete a review of the company’s code of ethics/conduct. Address the following questions:
   • When was the code last updated?
   • In your organization, what format is the most current code of ethics/conduct in? How does the format meet the needs of employees who are searching for information?
   • Around what is your organization’s code of ethics/conduct centered? Provide the text of this item.
   • In what way(s) is your organization’s code of ethics/conduct a practical guide for employees?
   • What audience is your organization’s code of ethics/conduct directed to?
   • In what ways, if any, does your organization’s code of ethics/conduct support day-to-day decision making?
   • How does the code of ethics/conduct address corporate social responsibility?
   • How does the code of ethics/conduct address environmental stewardship?
   • How are the universal core ethical values of honesty, integrity, loyalty, responsibility, fairness, and citizenship represented in your organization’s code of ethics/conduct? If one or more are not represented, how might they be?
   • What, if any, training has been associated with the code?
   • How do the provisions align with those presented in Common Code Provisions (Links to an external site.)?
2. Discuss your company’s organizational culture, especially as it relates to ethics and leadership.
   • What role does leadership currently play in promoting ethics?
   • What role should leadership play in promoting ethics?
3. Answer the following questions about your company:
   • What ethics challenges are common in the work you do? In your workplace?
   • Where are your greatest areas of risk? Which groups of employees, locations, business units, etc. are potential “hot spots”?
   • What values are important to your company and its employees?
   • What values are necessary for your business, your work in particular?
   • What ethics and compliance resources will be most beneficial for employees? What vehicles of support (a phone line, an email, an individual or committee, internal social network, etc.) are likely to be most utilized and helpful?
   • In developing your code and values, which groups’ input is necessary? Who would be helpful? 
   • How can this ethical code of conduct be used to support the tone at the top?
4. Provide at least three suggestions for updating the current code of ethics/conduct and the program surrounding it. Think about how the code of ethics/conduct should be incorporated into communications, as well as what type of training should be used to present information and updates to employees.
5. The paper should be a maximum of 10 pages, 12 point font, double spaced. Use APA in-text citations and reference list.

  

Respond to at least two colleagues by doing all of the following:

• Offer an analysis of their evaluations and subsequent      recommendation. Note both strengths and areas that could be improved.
• Identify areas where your own original recommendations      or evaluation was similar to or different from your colleagues’ original      evaluation and explain why.
• Must contain at least 1 reference and citation.  Can us the reference in the original post

Colleague #1 – Brodrick Thompson 

RE: Discussion – Week 3

COLLAPSE

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Post an evaluation of the proposed study design described in the case study file.

In the social work research; Single Subject text, Christ is a geriatric case manager (Plummer, et al., 2014). Christ and the team uses solution-focused and task centered methods as an approach to integrate case management methods when working with geriatric clients. George, is the participant in the study. George was married for 45 years to his wife who passed away two summers ago due to cancer (Plummer et al., 2014). George has a history of back pain and occasional flare ups of his arthritis. George worked through grief from the passing of his wife. It was found that George needed assistance with daily living arrangement and home safety (Plummer et al., 2014). 

Explain whether the outcome of the Chris’ study with her client George would lead you to adopt the model of case management with solution-focused and task-centered approaches, and substantiate your choice.

In the study, Chris and the collaborators met the criteria for a single case design because they focus on one person. Dudley (2020) tells us that a single-system design is a variation of a time-series design on a practice level, in that it involves several measures of the outcome variable both before and while an intervention is being introduced. A single-system design (SSD) is a practice evaluation tool that measures whether there is a casual relationship between the practitioner’s intervention and a client’s outcome measure (Dudley, 2020).  After identifying George’s needs, Chris and his collaborators were able to use the intervention to address George’s issues and meet George’s needs. After the study, it was found that the intervention was successful in assisting George in maintaining health, effective in strengthening personal care, and helping to improve mobility. 

Provide recommendations for improvements should Chris and his colleagues wish to submit the study to the  the evidence-based practice registry. Include a rational for your recommendations. 

Chris and his colleagues should conduct another study with the same hypothesis with different participants and compare the results with the first study that was conducted. Chris should ensure that the intervention is beneficial for different populations. For the next study, it important that the staff ensures to assess what is observed by staff and what is being self-reported by the participants. It is important to compare what is observed and what is reported to better understand the effectiveness of the intervention. Self-monitoring is also a useful approach for data collection,as well as the use of rating scales and rapid assessment instruments (Mattaini 2010). When conducting a study, it is important to conduct multiple studies to verify the results of the study. Changing some identifying measures and testing multiple approaches will allow Chris and his colleagues to determine what is beneficial for the participants in the study. 

Reference:

Dudley, J R. (2014). Social work evaluation: Enhancing what we do. (3rd ed.). Oxford University Press

Mattaini, M. A. (2010). Single-system Studies. In B. Thyer (ED.), The handbook of social work research methods (2nd ed.,  pp. 241-273). Thousand Oaks, CA: Sage. (PDF)  

Plummer, S. B. Makris, S Brocksen, S. (Eds.). (2014b). Social Work case studies: concentration year. Baltimore, MD: Laureate International Universities Publishing. [Vital Source e-reader].

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Colleague #2 Exon Valdez

RE: Discussion – Week 3

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        According to Tankersley et al. (2008), effective single-subject research has several components. First, the participants within the study are described with detail (age, ethnicity, education, income, symptoms, etc.), and the process of selecting participants is also described in detail (Tankersley et al., 2008). This detail allows other researchers and practices to be replicated more easily and for practitioners to understand for whom the treatment/practice is effective for (Tankersley et al., 2008). The dependent and independent variables should also be described in detail and measured at multiple moments in the treatment process (Tankersley et al., 2008). For example, pre- and post- assessments should be given to be able to measure the effects or changes after treatment or intervention. Again, this allows practitioners to understand under which circumstances the treatment/practice should be given. Additionally, experimental controls should be explained in detail so readers can determine internal validity and understand specifics regarding setting, atmosphere, and implementation (Tankersley et al., 2008).

 
 

           Plummer et al. (2014) describes the setting and process for a practice evaluation in a geriatric setting using a multiple-baseline, single-subject design. Information provided on the study is vague, a limitation in understanding how the study design should be replicated. To improve the study, I would recommend more detail in several areas of the study. First, detail into the “initial assessments” and participant identification is warranted (Plummer et al., 2014). It would be helpful to know how clients are assessed, with which measurements, and what symptoms/needs are explored. This way, future practitioners can replicate the study’s design and understand what to look for in clients. Additionally, the way participants are selected is not explained (Plummer et al., 2014). It would be difficult to know which clients are ideal for the task-centered and solution-focused methods the case managers use. Finally the interventions used to improve the clients conditions are not specific (Plummer et al., 2014). In order to replicate the study, practitioners need to know which models and interventions are used. Plummer et al. (2014) only notes that through “collaborative work, most needs were at least partially addressed.” I would be curious to know what constitutes the measure of “most” and “partially met” as well as how dependent and independent variables were assigned and controlled. To conclude, the study’s design may be of quality, but the author does not provide sufficient detail.

 
 

 
 

References

 
 

Plummer, S.-B., Makris, S., & Brocksen S. (Eds.). (2014b). Social work case studies: Concentration year. Baltimore, MD: Laureate International Universities Publishing. [Vital Source e-reader].

 
 

Tankersley, M., Cook, B. G., & Cook, L. (2008). A Preliminary Examination to Identify the Presence of Quality Indicators in Single-subject Research. Education & Treatment of Children, 31 (4), 523-54

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